| NPI | 1932744547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M JENSEN Director Of Operations 605-444-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |